| NPI | 1083078935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA HUNDLEY SELF Case Manager/Care Coordinator 804-761-4131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: VA T67028145) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |